When the bone at an implant site isn't in the ideal spot, there's more than one way to handle it, and we think that decision belongs to you, not just to us.

One option is grafting: building up the bone so the implant can go exactly where it should for the best long-term outcome. The other is adjusting the plan itself, sometimes shifting the approach slightly to avoid the graft altogether. Neither option is automatically correct. Each comes with its own tradeoffs in timeline, healing, and long-term predictability.

Rather than making that call unilaterally, we lay out both paths directly: here's the risk to grafting, here's the risk to placing it with an adjustment instead, which one makes more sense for you. Some patients want the version that gets them to a finished tooth faster. Others would rather do the additional procedure now if it means better long-term odds. Both are reasonable positions, and the right answer depends on your priorities, not just ours.

This isn't about avoiding a recommendation. We'll tell you plainly what we'd lean toward and why. But you're the one living with the outcome, and you deserve to understand the real choice being made on your behalf rather than discovering it after the fact.